black cohosh - oral (cont.)

DRUG INTERACTIONS: The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.Some products that may interact with this drug include: cisplatin, drugs that can harm the liver (e.g., acetaminophen, amiodarone, carbamazepine, isoniazid, methotrexate, methyldopa), hormones (e.g., estrogen, birth control pills/patch/ring), warfarin, drugs removed from your body by certain liver enzymes (e.g., codeine, flecainide, haloperidol, metoprolol, ondansetron, risperidone, tramadol, antidepressants such as amitriptyline, desipramine, imipramine, paroxetine, venlafaxine).Check the labels on all your pain relievers/fever reducers because they may contain aspirin (which is like an ingredient in this product) or acetaminophen (which can harm the liver). If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.This document does not contain all possible drug interactions. Keep a list of all the products you use. Share this list with your doctor and pharmacist to lessen your risk for serious medication problems.